KARA KRUPP – Optometrist, NPI 1003591488

KARA KRUPP is a healthcare provider. based in Eagle, Michigan. specializing in OPTOMETRY. They hold a License No. 4901005724 (MI). The NPI Number for KARA KRUPP is 1003591488

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KARA KRUPP
NPI
1003591488
Phone
(517) 526-5570
Address
11906 EDEN TRL
Enumeration Date
21 June 2023
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
6169492600
Graduation Year
2023 (3 years ago)
PAC ID
7012370505
Group Practice PAC ID
8820065618
Professional Enrollment ID
I20230831000769
Address ID
MI494247264HO3235XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for KARA KRUPP

  • 11906 EDEN TRL

    EAGLE, MI 488229621

    Phone: (517) 526-5570

    Type: Mailing

  • 537 W MAIN ST

    IONIA, MI 488461652

    Phone: (877) 338-9797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$180

General + Research + Ownership

Payments

3

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230831000769IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48822)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820065618View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P T O M E T R YMI
-MI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KARA KRUPP?
KARA KRUPP — NPI 1003591488 — is the standard way to identify this listing.
Does CMS list KARA KRUPP as active?
Yes — KARA KRUPP is active in the NPI listing used on this page.
What is KARA KRUPP's primary classification?
Optometrist is the headline specialty for KARA KRUPP here. Clinical services aligned with this taxonomy classification.
Where is KARA KRUPP based?
KARA KRUPP is tied to Eagle, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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